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Individual

ALLEN JAMES AUBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
305 S MAIN ST, ROCKY FORD, CO 81067-1704
(719) 254-7404
(719) 254-6820
Mailing address
305 S MAIN ST, ROCKY FORD, CO 81067-1704
(719) 254-7404
(719) 254-6820

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9994499
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08009441
CO
01
410044783
RR MEDICARE
CO
Enumeration date
10/19/2006
Last updated
09/22/2011
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